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Back to Basic's Registration
This workshop will be guide to healthy relationships, consent, and reproductive health for your young person. Please fill out the following information to register.
Child's Name *
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Child's Age *
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Child's Gender *
Parent/Guardian's Name *
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Parent/Guardian's Email *
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Emergency Contact Information *
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Child's Allergies/Medical Concerns *
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What days will your child attend? *
At the Back to the Basics: Teen Health Workshop your young person will participate in interactive, age- appropriate lessons focused on healthy relationships, consent, contraception, STDs, and reproductive health and anatomy. By checking the bubble below, you are giving your child permission to participate in this program. *
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